Robotic Ureteroscopy: Quick Guide to the ILY System

At 43, a woman who had a right double‑J stent for a kidney infection needed a new treatment. She had a 13‑mm stone in her kidney pelvis, measured at 1,497 HU and about 1,214 mm³. The robotic system called ILY was chosen.

The video shows each step. First the room is set up and the robot is calibrated. Then sterile drapes are placed. The robot is positioned, fixed, and docked to the ureteral sheath with the ureteroscope. The surgeon uses the console to guide the scope through the ureter, does laser lithotripsy, inspects the kidney, and undocks using a routine. A flexible suction sheath stays in place.

Draping took 167 seconds and docking took 645 seconds. The console ran for 115 minutes, with 52 minutes of laser work at 8 Hz and 1.2 joules. No basket was needed. Undocking finished in 74 seconds. The whole operation lasted 130 minutes. No problems happened during surgery. A CT scan the next day showed the stone was gone. The patient left the hospital after 36 hours, with a Clavien‑Dindo grade 1 and a surgeon rating of 8 out of 10.

The ILY platform was safe and effective. A clear step‑by‑step guide can help more surgeons adopt the method, keep procedures consistent, and improve comfort. It also brings us closer to fully autonomous surgery.